Quality Improvement in Health and Social Care

This report discusses the concept of quality improvement in healthcare and the tools and approaches used to enhance patient care. It also covers the role and views of various stakeholders involved in improvement plans within the healthcare industry. The report includes a reflection by a healthcare leader and personal development plans for effective communication, problem-solving, and leadership skills.

Quality improvement in health and social
care

Table of Content.
INTRODUCTION...........................................................................................................................1
MAIN BODY ..................................................................................................................................1
Application of Improvement tools or approaches........................................................................1
Improvement plan, consisting the perspective or views of stakeholder groups..........................2
Reflection.....................................................................................................................................3
Personal development plan:.........................................................................................................5
CONCLUSION................................................................................................................................7
REFERENCES................................................................................................................................8

INTRODUCTION
The concept of quality improvement is generally the framework which is used to
systematically enhance the care. In this, the enhancement within the quality can seeks to
standardize the procedures as well as the structures in order to decrease the variation, attain, the
predictable outcomes as well as enhance results for the vulnerable patients, the well-being care
settings and organization. In this, participating within the primary well-being care practices in
the quality enhancement activities is quite important to attain the various objectives of enhancing
the well-being of the population, improving the experience of the vulnerable patients and results
as well as decreasing the per capita cost of care, and to enhancing the providers experience.
While producing the improvement plans within healthcare sectors, there are various stakeholders
involved which can take part in the improvement plan (Pace and et. al., 2018). For the healthcare
sector, stakeholders can provide vital support such as they can provide strategic directions,
funding, solutions as well as more to the entire well-being care industry. In the report, it will
cover the applications of the improvement tool or approaches within the healthcare sectors to
enhance the faculty and care services provided to patients. In this, there is a discussion about the
role and views of various stakeholders which are involved in improvement plan within
healthcare industry. Furthermore, there is also a reflection over the concept of improvement plan,
the specific issues that mainly arise such as deteriorating conditions of mental health patients and
many more.
MAIN BODY
Application of Improvement tools or approaches.
A system approach towards the health is generally the one which can apply the scientific
insights in order to understand the components which can impact the well-being results, the
specific models the relationship among such components, as well as can alter the design,
procedures or the effective policies mainly based on the collaborative understanding to produce
high well-being care at the lowest costs (Leong and et. al., 2019). In this, the specific tools which
are used within healthcare settings to enhance the well-being and health of the patient such as
dementia patients and many more. The tools can involve Root Cause Analysis, PDSA, HFMEA
and many more.
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RCA (Root Cause Analysis): The concept or tool like RCA is extensively used in the
engineering as well as is quite similar to the critical incident technique and is generally a issues
resolving methods concentrated over determining as well as knowing the underlying causes of
the events and the potential events which were interrupted. Within health and social care, the
Joint Commission generally needs Root Cause Analysis that is to be performed in response to all
the sentinel events as well as expect mainly based over the outcomes of Root Cause Analysis. In
addition to this, the organization is to improve as well as execute an action plan mainly
consisting of enhanced designs to decrease the future risk of the events as well as to monitor the
effectiveness of such enhancements (Palanisamy and Thirunavukarasu, 2019). In this, Root
Cause Analysis is a technique which is used to determine the specific trends as well as can assess
the possible risks which can be used whenever the errors are suspected with the understanding
the system instead of the individual elements which are more likely the root cause of most of the
issues.
HFMEA (Health Failure Modes and Effects Analysis): The tool is mainly used to assess
the risk. There are generally five steps in the tool such as define the topic, assemble the team,
improve the process map for the issue as well as consecutively number every step and sub step of
that process. In addition to this, it can also involve a conduct analysis of hazard and can establish
an action plan and its desired results as well. While conducting hazard analysis, it is essential to
list all the possible as well as the potential failure modes for every process, in order to determine
whether the failure modes can be warrant for the further actions.
Improvement plan, consisting the perspective or views of stakeholder groups.
There are generally various stakeholders which are involved within the improvement plan
such as patient, management team, healthcare leaders, healthcare professionals and risk
management team.
Patient: Within healthcare, the participation of the patients, their shared communication
among the care treatment team and the patients is quite crucial, so that the effective knowledge
and data can be positively shared among them, providing the patients a sense of control and
responsibility and therefore, involving the patients in care activities such as physical or mental,
to advantage and rehabilitate from this involvement.
Management team: Within healthcare settings, the management team must consider the
feedbacks of the patients, care staff members and the other public so that they can able to know
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about the issues arises within healthcare setting. By effectively analysing the feedbacks and
advices from the other management team, they can participate in the improvement plan so that
the plan can be effectively executed within the settings.
Healthcare leaders: Within healthcare settings, the effective healthcare leaders can play an
essential role within the improvement plan. They mainly supervise the areas where
improvements must be done. Their duty is to inform the risk management team about the specific
areas where the improvement is required. In addition to this, they also involve a duty to inform
the management team about where improvements are not done properly as well. as providing
effective healthcare quality services can help to improve the patient’s well-being. Furthermore,
the healthcare leaders can decrease the possibility as well as the severity of the potential risks by
simply determining them at an early stage (Kaakinen and et. al., 2018).
Healthcare professionals: In this, the healthcare professionals can provide the care
treatment plan to the vulnerable patients such as dementia patient to overcome from specific
issues. They must set goals for each patient, can create an executable care plan for the patient
and analyse the data and results as well.
Risk management team: Within healthcare sectors, the management of risk is generally a
critical function amongst all. providing an effective as well as managing risk can help to enhance
speed, accuracy, actionability of the information while decreasing patient’s exposure towards the
third party risk. If something does not happen correctly, the risk management team can already
make an action plan in the place to handle it. It can greatly aid the healthcare workers to prepare
for unexpected things as well as can enhances the productivity of the healthcare organization
(Williams and Daley, 2021).
Reflection
Self-reflection is a process which is help in the identification of the strengths as well as
weaknesses. These are necessary for the development of the skills and effectiveness. There are
Gibbs reflective model which are use for the self-reflection. The Gibbs reflective model is
proposed in 1988 by Graham Gibbs. This is consider the six stages which are description,
feeling, analysis, evaluation, action plan and conclusion.
As a health care leader, in the health care centre there was a person which is patient who
is dementia. He has sever condition of dementia and faces memory loss, poor judgement and
confusion. The health care centre is not provide proper care or medication to the patient. He
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faces difficulty in speaking, understanding and expressing thoughts. He was not able to
communicate with his family and staff members and feel socially isolated. In addition to this,
there was no staff available for the treatment of the patient. This has resulted in the critical
condition of the patient. As a healthcare leader, I was there for supervise the patients and staff
members. The was also some patients and staff workers are present.
I was feel that the patient react more according to the situations. The staff members did
not attend the patient properly. The other peoples are think that there is only mistake if the
patient but there was also mistake of staff members. There was a misunderstanding for the
medication and staff members are not prepare any chart for the medication. There was I faced
difficulties in communicating with staff members as well as with the patients. I cannot manage
the staff properly according to the situation. I was felt that in this situation the staff members get
panic and the cannot able to handle this situation.
I have evaluated that there was only misunderstanding as well as miscommunication in
the staff members and patient. There was fault of the staff members which are not prepare patient
chart. There was a not good working environment in between workers. These are not
communicate properly with the other staff members. The staff has responsibility for their patient
to explain their medication properly but these are not did their job properly. The has also some
fault of the patient because this was react more according to the condition. I was trying to handle
this situations.
I was analysed that the staff member is not able to attend this patient properly. These are
not taking decision properly to provide the care of the patient. There are some skills which are
need to develop for the health care centre. These are require to provide the proper and effective
communication for the patients. I am also analyse that there are some staff for the patient care.
I have concluded the the there was a communication gap in between the staff members as
well as the patient. The staff members are not properly manage by the team leader and they are
not communicating well with other staff workers. There was need to develop the effective
communication in between staff members and patients. There is require to develop problem
solving as well as decision making skill for the provide effective treatment to the patients. I need
to develop my leadership skill which are help me in the managing the staff members and I can
able to understand their problems. Collectively, there is need to develop the academic skills in
the staff members and provide proper staff members for the pati9ent care.
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I have been build a action plan for this situation and this action plan is related with the
situations which occurs in future. This includes the development of the academic skills or
professional skills which are necessary at workplace. If this situation is occurs again then I
provide a staff for the patient which are able to communicate properly with the patients. These
are require to listen the proper requirements for of the patient. There should need to provide
training sessions to the staff members for attend the patient properly. There is need to develop
their academic and professional skills which are necessary for personal development. These
skills includes communication skill, leadership skill, problem solving skill and effective decision
making skills.
Personal development plan:
Goal Skills/
Improvement
Areas (for
example areas
of improvement
related to the
reflection on
the use of
improvement
skills
Action for development Timescale Evidence
To develop
effective
and
powerful
communicat
ion
Communication
skill
The communication skill can be
develop by the improvement in
the listening and understanding
non-verbal communication.
There is need to manage
personal emotions and ask for
feedbacks or practice public
speaking. There is need to join
training programs and interact
with other peoples. The good
5 days Strategies for
Effective
Communication
in Health Care,
2021
5

communication skill are help in
the understand the patient
problem and identify the
solution which are required for
the patient care.
To adaptive
and quick
decision
making
Decision making
skill
There is need to identify the
goals and gather information
for weighing your option. There
is need to consider the
consequences and make a
decision according to the
situation. There is need to
evaluate the decision. These are
help for the staff members to
take a best decision for the
patient which are necessary for
the patient treatment as well as
it provide the satisfaction to the
patient.
8 days Engaging patients
in decision-
making and
behavior change
to promote
prevention, 2020
To develop
the
leadership
quality
Leadership skill There is need to identify the
leadership style. There is need
to develop the communicating
skill, building empathy, taking
hard decision. There is require
to make a plan which is
consider the strength and
weaknesses of team members.
These are help the leader of the
care centre to manage their
staff members.
30 days Importance of
Leadership Style
towards Quality
of Care Measures
in Healthcare
Settings: A
Systematic
Review, 2017
6

To taking
the quick an
effective
solution of
the situation
Problem solving
skill
There is need to identify and
understand the patient problem
and search the system and
practices behind the problem.
There is need to visualize the
problem and create a
appropriate solutions of the
patients problems.
15 days Communication
Skills, Problem-
Solving Ability,
Understanding of
Patients’
Conditions, and
Nurse’s
Perception of
Professionalism
among Clinical
Nurses: A
Structural
Equation Model
Analysis, 2020
CONCLUSION
From the above discussion, it has been concluded that every well-being care system is
built over a complex network of care pathways and processes. In this, the quality of care is
mainly delivered by the healthcare system generally depend to a large extent on how well the
network can functions as well as how well the people who give and manage the care work
collaboratively. From the discussion, it has been analysed that having improvements within
healthcare sectors are essential to protect the patients from ineffective care and possible
occurrence of risks. With help of various stakeholders, they can play an effective role in order to
reduce the misconducts or providing inappropriate care treatment to patients. In addition to this,
there is a reflection provided by the healthcare leader that make an improvement plan for the
dementia patient to improve the health by providing effective care treatment plan. Furthermore,
there are some of the effective improvement development plan for the dementia patient (from the
scenario) to improve the well-being more efficiently.
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REFERENCES
Books and Journals:
Challoner, A. and Popescu, G.H., 2019. Intelligent sensing technology, smart healthcare services,
and internet of medical things-based diagnosis. American Journal of Medical
Research, 6(1), pp.13-18.
Forsetlund, L., O'Brien, M.A., Forsen, L., Mwai, L., Reinar, L.M., Okwen, M.P., Horsley, T. and
Rose, C.J., 2021. Continuing education meetings and workshops: effects on professional
practice and healthcare outcomes. Cochrane database of systematic reviews, (9).
Gale, R.C., Wu, J., Erhardt, T., Bounthavong, M., Reardon, C.M., Damschroder, L.J. and
Midboe, A.M., 2019. Comparison of rapid vs in-depth qualitative analytic methods from
a process evaluation of academic detailing in the Veterans Health
Administration. Implementation Science, 14(1), pp.1-12.
Gray, B. and Purdy, J., 2018. Collaborating for our future: Multistakeholder partnerships for
solving complex problems. Oxford University Press.
Kaakinen, J.R., Coehlo, D.P., Steele, R. and Robinson, M., 2018. Family health care nursing:
Theory, practice, and research. FA Davis.
Leong, W.D., Lam, H.L., Ng, W.P.Q., Lim, C.H., Tan, C.P. and Ponnambalam, S.G., 2019. Lean
and green manufacturing—a review on its applications and impacts. Process integration
and optimization for sustainability, 3(1), pp.5-23.
Nutbeam, D., McGill, B. and Premkumar, P., 2018. Improving health literacy in community
populations: a review of progress. Health promotion international, 33(5), pp.901-911.
Otte, K.P., Konradt, U. and Oldeweme, M., 2018. Effective team reflection: the role of quality
and quantity. Small Group Research, 49(6), pp.739-766.
Pace, P., Aloi, G., Gravina, R., Caliciuri, G., Fortino, G. and Liotta, A., 2018. An edge-based
architecture to support efficient applications for healthcare industry 4.0. IEEE
Transactions on Industrial Informatics, 15(1), pp.481-489.
Palanisamy, V. and Thirunavukarasu, R., 2019. Implications of big data analytics in developing
healthcare frameworks–A review. Journal of King Saud University-Computer and
Information Sciences, 31(4), pp.415-425.
Reddy, S., Fox, J. and Purohit, M.P., 2019. Artificial intelligence-enabled healthcare
delivery. Journal of the Royal Society of Medicine, 112(1), pp.22-28.
Song, Z. and Baicker, K., 2019. Effect of a workplace wellness program on employee health and
economic outcomes: a randomized clinical trial. Jama, 321(15), pp.1491-1501.
Vo, V., Auroy, L. and Sarradon-Eck, A., 2019. Patients’ perceptions of mHealth apps: meta-
ethnographic review of qualitative studies. JMIR mHealth and uHealth, 7(7), p.e13817.
Williams, M. and Daley, S., 2021. Innovation in dementia education within undergraduate
healthcare programmes: a scoping review. Nurse education today, 98, p.104742.
Xiao, J., Wang, F., Wong, N.K., He, J., Zhang, R., Sun, R., Xu, Y., Liu, Y., Li, W., Koike, K.
and He, W., 2019. Global liver disease burdens and research trends: analysis from a
Chinese perspective. Journal of hepatology, 71(1), pp.212-221.
Yang, J.D., Hainaut, P., Gores, G.J., Amadou, A., Plymoth, A. and Roberts, L.R., 2019. A global
view of hepatocellular carcinoma: trends, risk, prevention and management. Nature
reviews Gastroenterology & hepatology, 16(10), pp.589-604.
Online:
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Strategies for Effective Communication in Health Care, 2021 [Online]
<https://publichealth.tulane.edu/blog/communication-in-healthcare/>
Engaging patients in decision-making and behavior change to promote prevention, 2020
[Online] <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6996004/>
Importance of Leadership Style towards Quality of Care Measures in Healthcare Settings: A
Systematic Review, 2017 [Online] <ncbi.nlm.nih.gov/pmc/articles/PMC5746707/>
Communication Skills, Problem-Solving Ability, Understanding of Patients’ Conditions, and
Nurse’s Perception of Professionalism among Clinical Nurses: A Structural Equation
Model Analysis, 2020 [Online]
<https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7369768/>
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